ATI Pediatrics Focused Review Proctored Exam
Case Management (1 item)
Hematologic Disorders: Immunizations for a Client Who Has Sickle Cell Anemia (Active
Learning Template - Basic Concept, RM NCC RN 11.0 Chp 21)
- Treat and prevent infection by administering antibiotics, performing frequent hand hygiene,
giving oral prophylactic penicillin.
- Administer pneumococcal conjugate vaccine, meningococcal vaccine, and Haemophilus
influenza type B vaccine.
- Monitor and report laboratory results.
Establishing Priorities (1 item)
Pediatric Emergencies: Caring for a School-Age Child Who Is Experiencing Anaphylaxis
(Active Learning Template - System Disorder, RM NCC RN 11.0 Chp 43)
- Anaphylactic Shock is a life-threatening allergic reaction that is caused by a
systemic antigen-antibody immune response to a foreign substance (antigen) introduced
into the body.
- It is characterized by a smooth muscle contraction, massive vasodilation and
increased capillary permeability triggered by a release of histamine. It occurs within
seconds to minutes after contact with an antigenic substances and progresses rapidly to
respiratory distress, vascular collapse, systemic shock, and possibly death if emergency
treatment is not initiated.
- Causative agents include severe reactions to a sensitive substance such as a drug,
vaccine, food (such as eggs, milk, peanuts, shellfish), insect venom, dyes or contrast
media, or blood products.
- Assess the respiratory rate, rhythm, and depth, and note for changes such
as:coughing, dyspnea, increased shortness of breath, stridor, tachypnea, use of accessory
muscles, wheezing.
- Assess the client for the sensation of a narrowed airway, presence of angioedema,
Monitor oxygen saturation and arterial blood gasses, Administer IV fluids as ordered,
aminister oxygen as prescribed. Administer medications as ordered: bronchodilators,
corticosteroids, epinephrine, antihistamines.
-
Legal Rights and Responsibilities (1 item)
, ATI Pediatrics Focused Review Proctored Exam
Epidemiology and Communicable Diseases: Nationally Notifiable Sexually Transmitted
Infections (Active Learning Template - System Disorder, RM CH RN 8.0 Chp 3)
- Epidemiology is used to monitor disease trends. Examining numeric indicators of the
occurrence of diseases, how long they last, and comparison to historical trends can assist with the
management of diseases.
-Community health nurses can use disease surveillance to track the point of origin of some
diseases
-Reporting of communicable diseases is mandated by state and local regulations, and state
notification to the CDC is voluntary.
NATIONALLY NOTIFIABLE DISEASES
Identified at www . cdc . gov and include the following.
Anthrax, Botulism,Cholera, Congenital rubella syndrome (CRS), Diphtheria,Giardiasis,
Gonorrhea, Hepatitis A, B, C, HIV infection,Influenza-associated pediatric mortality,
Legionellosis/Legionnaires' disease, Lyme disease, Malaria, Meningococcal disease, Mumps,
Pertussis (whooping cough), Poliomyelitis, paralytic, Poliovirus infection, nonparalytic, Rabies
(human or animal), Rubella (German measles), Salmonellosis, Severe acute respiratory
syndrome-associatedcoronavirus disease (SARS-CoV), Shigellosis, Smallpox,
Syphilis,Tetanus/C. tetani, Toxic shock syndrome (TSS),Tuberculosis (TB), Typhoid fever,
Vancomycin-intermediate and vancomycin-resistant
Staphylococcus aureus (VISA/VRSA)
Standard Precautions/Transmission-Based Precautions/Surgical Asepsis (1 item)
Professional Responsibilities: Caring for a Child Who Has Pertussis (Active Learning
Template - Basic Concept, RM Leadership 8.0 Chp 3)
· Use droplet precautions until 5 days after effective antibiotic is initiated.
· Monitor respirations and oxygen saturation with a cardiac monitor and pulse oximetry.
The smaller the infant, the greater the risk for apnea.
· Meet infant needs promptly to reduce crying, which can precipitate coughing. Remain
with the child during coughing spells, when hypoxic and apneic episodes are most likely.
Give oxygen if ordered. Have emergency equipment available.
· Provide humidification. Gentle suctioning may be necessary.
· Give nonaspirin antipyretics as needed for fever.
· Encourage frequent rest periods.
· Provide small frequent feeding of desired foods. Encourage fluids. The child may need
IV hydration if oral intake is not tolerated.
Case Management (1 item)
Hematologic Disorders: Immunizations for a Client Who Has Sickle Cell Anemia (Active
Learning Template - Basic Concept, RM NCC RN 11.0 Chp 21)
- Treat and prevent infection by administering antibiotics, performing frequent hand hygiene,
giving oral prophylactic penicillin.
- Administer pneumococcal conjugate vaccine, meningococcal vaccine, and Haemophilus
influenza type B vaccine.
- Monitor and report laboratory results.
Establishing Priorities (1 item)
Pediatric Emergencies: Caring for a School-Age Child Who Is Experiencing Anaphylaxis
(Active Learning Template - System Disorder, RM NCC RN 11.0 Chp 43)
- Anaphylactic Shock is a life-threatening allergic reaction that is caused by a
systemic antigen-antibody immune response to a foreign substance (antigen) introduced
into the body.
- It is characterized by a smooth muscle contraction, massive vasodilation and
increased capillary permeability triggered by a release of histamine. It occurs within
seconds to minutes after contact with an antigenic substances and progresses rapidly to
respiratory distress, vascular collapse, systemic shock, and possibly death if emergency
treatment is not initiated.
- Causative agents include severe reactions to a sensitive substance such as a drug,
vaccine, food (such as eggs, milk, peanuts, shellfish), insect venom, dyes or contrast
media, or blood products.
- Assess the respiratory rate, rhythm, and depth, and note for changes such
as:coughing, dyspnea, increased shortness of breath, stridor, tachypnea, use of accessory
muscles, wheezing.
- Assess the client for the sensation of a narrowed airway, presence of angioedema,
Monitor oxygen saturation and arterial blood gasses, Administer IV fluids as ordered,
aminister oxygen as prescribed. Administer medications as ordered: bronchodilators,
corticosteroids, epinephrine, antihistamines.
-
Legal Rights and Responsibilities (1 item)
, ATI Pediatrics Focused Review Proctored Exam
Epidemiology and Communicable Diseases: Nationally Notifiable Sexually Transmitted
Infections (Active Learning Template - System Disorder, RM CH RN 8.0 Chp 3)
- Epidemiology is used to monitor disease trends. Examining numeric indicators of the
occurrence of diseases, how long they last, and comparison to historical trends can assist with the
management of diseases.
-Community health nurses can use disease surveillance to track the point of origin of some
diseases
-Reporting of communicable diseases is mandated by state and local regulations, and state
notification to the CDC is voluntary.
NATIONALLY NOTIFIABLE DISEASES
Identified at www . cdc . gov and include the following.
Anthrax, Botulism,Cholera, Congenital rubella syndrome (CRS), Diphtheria,Giardiasis,
Gonorrhea, Hepatitis A, B, C, HIV infection,Influenza-associated pediatric mortality,
Legionellosis/Legionnaires' disease, Lyme disease, Malaria, Meningococcal disease, Mumps,
Pertussis (whooping cough), Poliomyelitis, paralytic, Poliovirus infection, nonparalytic, Rabies
(human or animal), Rubella (German measles), Salmonellosis, Severe acute respiratory
syndrome-associatedcoronavirus disease (SARS-CoV), Shigellosis, Smallpox,
Syphilis,Tetanus/C. tetani, Toxic shock syndrome (TSS),Tuberculosis (TB), Typhoid fever,
Vancomycin-intermediate and vancomycin-resistant
Staphylococcus aureus (VISA/VRSA)
Standard Precautions/Transmission-Based Precautions/Surgical Asepsis (1 item)
Professional Responsibilities: Caring for a Child Who Has Pertussis (Active Learning
Template - Basic Concept, RM Leadership 8.0 Chp 3)
· Use droplet precautions until 5 days after effective antibiotic is initiated.
· Monitor respirations and oxygen saturation with a cardiac monitor and pulse oximetry.
The smaller the infant, the greater the risk for apnea.
· Meet infant needs promptly to reduce crying, which can precipitate coughing. Remain
with the child during coughing spells, when hypoxic and apneic episodes are most likely.
Give oxygen if ordered. Have emergency equipment available.
· Provide humidification. Gentle suctioning may be necessary.
· Give nonaspirin antipyretics as needed for fever.
· Encourage frequent rest periods.
· Provide small frequent feeding of desired foods. Encourage fluids. The child may need
IV hydration if oral intake is not tolerated.
